Sidra Ishfaq, Munazza Nazir, Sajid Bukhari, Naeem Ahmed, Muhammad Furqan Ubaid, Humza Farooq

Frequency of Organophosphate Poisoning and its Outcome in SKBZ AK CMH Muzaffarabad

Sidra Ishfaq, Munazza Nazir, Sajid Bukhari, Naeem Ahmed, Muhammad Furqan Ubaid, Humza Farooq



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ABSTRACT

Background: Organophosphate toxicity is a worldwide problem as this is equally easily available in rural and urban areas.

Furthermore, the complications and outcome of the organophosphate poisoning was also examined.

Aim: to determine the frequency of organophosphate poisoning and its outcomes in this region with limited laboratory and ICU

facilities.

Place and duration of study: SKBZ/AK CMH Muzaffarabad from January 2019 to December 2019.

Methodology: This observational, prospective analytical study was planned in Department of Medicine, SKBZ/AK CMH

Muzaffarabad. A total of 110 suspected poisoned patients were included having age between 12-60 years. Patients who had

taken more than one poison were excluded from the study. The organophosphate poisoning was identified through pupil size,

increased secretion and Glasgow Coma Scale.

Results: The average age of the patients was 24.38±6.35 years. The male to female ratio was 1:1.69. Majority 77 (70%) of the

patients were single and resident in rural areas 59 (53.6%). The incidence rate of organophosphate poisoning was 90 out of 110

(81.81%). There were at least 75% cases of organophosphate poisoning among all poisoned cases with p value 0.03. The

survival rate was 93.3% (84 out of 90). The most important factor affecting survival rate was the time lag between ingestion of

the poison and initiation of specific therapy with p value 0.022.

Conclusion: Organophosphate poisoning has high incidence although has good prognosis and not a very problematic death

rate. We also concluded that the survival rate can be improved through reduction in time lag before start the treatment.

Keywords: Cause of poisoning, Organophosphate poisoning, Complication of Organophosphate poisoning



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